Lipopolysaccharide (LPS) triggers deleterious systemic inflammatory responses when released into the circulation. LPS-binding protein (LBP) in the serum plays an important role in modifying LPS toxicity by facilitating its interaction with LPS signaling receptors, which are expressed on the surface of LPS-responsive cells. We have previously demonstrated that high mobility group box 1 (HMGB1) can bind to and transfer LPS, consequently increasing LPSinduced TNF-a production in human peripheral blood mononuclear cells (PBMCs). We report here on the identification of two LPS-binding domains within HMGB1. Furthermore, using 12 synthetic HMGB1 peptides, we define the LPS-binding regions within each domain. Among them, synthetic peptides HPep1 and HPep6, which are located in the A and B box domains of HMGB1, bind to the polysaccharide and lipid A moieties of LPS respectively. Both HPep1 and HPep6 peptides inhibited binding of LPS to LBP and HMGB1, LBP-mediated LPS transfer to CD14, and cellular uptake of LPS in RAW264.7 cells. These peptides also inhibited LPS-induced TNF-a release in human PBMCs and induced lower levels of TNF-a in the serum in a subclinical endotoxemia mouse model. These results indicate that HMGB1 has two LPS-binding peptide regions that can be utilized to design anti-sepsis or LPS-neutralizing therapeutics.Keywords: Endotoxin shock . High mobility group box 1 . Inflammation . Lipopolysaccharide
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IntroductionLipopolysaccharide (LPS) is the main cause of Gram-negative bacterial sepsis. LPS consists of a lipid A component, a sugar moiety that forms the core, and an O-polysaccharide of variable length [1]. When LPS is introduced into the bloodstream, LPSbinding protein (LBP) recognizes the LPS molecules and catalyzes the movement of LPS from LPS aggregates. LBP transfers LPS to CD14, which in turn transfers LPS to the TLR4-MD2 receptor. Recently, the crystal structure of the TLR4-MD2-LPS complex has been determined [2]. Although there are several proteins that bind LPS, LBP is the first key protein that initiates and amplifies à These authors have contributed equally to this study. Eur. J. Immunol. 2011. 41: 2753-2762 DOI 10.1002 Innate immunity 2753 the LPS-mediated pro-inflammatory process that results in fatal septic shock syndrome. The nuclear protein high-mobility group box 1 protein (HMGB1) is involved in nucleosome stabilization, gene transcription, and neurite outgrowth [3]. HMGB1 can be actively or passively released into the extracellular space through acetylation [4], phosphorylation [5,6], methylation [7], or cell necrosis [8]. HMGB1 can trigger inflammation [8] and is a late mediator of endotoxemia and sepsis in both animal models and humans [9][10][11][12]. Although HMGB1 is a well-known mediator of endotoxemia and a proinflammatory cytokine-like protein in vivo, purified recombinant HMGB1 only has weak in vitro proinflammatory activity, such as the induction of TNF-a production [13,14]. HMGB1 can form highly inflammatory complexes with CpG DNA [15...